From the Department of Nuclear Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Clin Nucl Med. 2016 Oct;41(10):787-8. doi: 10.1097/RLU.0000000000001339.
We presented the serial FDG PET/CT brain scans of a 64-year-old woman with IgLON5 encephalopathy, which is a novel syndrome in association with antibodies to a neuronal cell adhesion protein named IgLON5, and FDG PET findings have not been characterized previously. For our case, the relatively hypermetabolism in primary sensorimotor cortices, basal ganglia, and cerebrum comparing to other cortical regions on the pretreatment FDG PET/CT was partially recovered on the follow-up FDG PET/CT scan after immunotherapy, corresponding with the alleviation of clinical syndromes. The metabolic change pattern was not similar as other types of autoimmune encephalitis.
我们展示了一例 64 岁女性的连续 FDG PET/CT 脑扫描结果,该患者患有 IgLON5 脑病,这是一种与神经元细胞黏附蛋白 IgLON5 抗体相关的新型综合征,并且之前尚未对 FDG PET 发现进行特征描述。对于我们的病例,与其他皮质区域相比,原发性感觉运动皮质、基底节和大脑在治疗前 FDG PET/CT 上的相对高代谢在免疫治疗后的随访 FDG PET/CT 扫描中部分恢复,与临床症状的缓解相对应。代谢变化模式与其他类型的自身免疫性脑炎不同。